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Turk hijiyen ve deneysel biyoloji dergisi. Turkish bulletin of hygiene and experimental biology最新文献

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Determination of doxorubicin amount conjugated to mPEG-b-PCL copolymer via pH sensitive hydrazone bond 通过pH敏感腙键共轭mPEG-b-PCL共聚物的阿霉素量的测定
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.04317
Gülhan Işik, A. Tezcaner, N. Hasirci, A. Kiziltay
Objective: The aim of this study was to find the efficient medium to bind an anticancer drug, Doxorubicin (DOX), to a synthesized polymer, methoxy poly(ethylene glycol)-block-polycaprolactone (mPEG-b-PCL) via pH sensitive hydrazone bonds and to determine the amount of conjugated drug. Methods: DOX conjugation was carried out in two different media [dimethyl sulfoxide (DMSO) and methanol-trifluoroacetic acid (MeOH-TFA)]. The amount of conjugated drug was determined with two different methods. One method was applied the dissolution of the conjugate in chloroform: methanol (Ch: MeOH, 1: 1 v/v) solution without considering pH responsiveness, and the other method was after breaking pH sensitive hydrazone bonds in acidic medium [using three different media as 0.1 M hydrochloric acid (HCl), concentrated HCl (12 M HCl) and concentrated sulfuric acid (18.3 M H2SO4)]. Results: The highest conjugation efficiency was obtained when the conjugation was achieved in MeOH-TFA solution, and for the polymer-drug conjugates after the treatment with concentrated sulfuric acid. recognized by immune system rapidly (12). On the other hand, PEG is hydrophilic and can escape from the immune system. Scientists prepared or used copolymers or tri-block-polymers of PEG and PCL and prepared either nanoparticles or micelles as drug delivery vehicles and evaluated in vitro and in vivo properties (13). Gong et al studied affinity of PEG-PCL-PEG micelles (14). Hu et al prepared micelles and polymersomes from PCL-PEG-PCL polymers to be used as drug carriers (15). Cytotoxic properties of Doxorubicin loaded PEG-PCL micelles prepared with functionalized PEGs were evaluated by Chen et al. and promising results were reported (16). An accurate determination of drug conjugation is important since higher dose given to a patient may create some unwanted symptoms like cardiomyopathy. In this study, methoxy konjugasyonu Conclusion: It was concluded that, MeOH-TFA method was a good method for conjugation of DOX to M) method was better other present in literature for determination of the amount of DOX linked to the polymer via
目的:寻找抗肿瘤药物多柔比星(DOX)与甲氧基聚乙二醇嵌段聚己内酯(mPEG-b-PCL)通过pH敏感腙键结合的有效介质,并测定结合药物的量。方法:在两种不同的介质[二甲亚砜(DMSO)和甲醇-三氟乙酸(MeOH-TFA)]中进行DOX偶联。采用两种不同的方法测定结合药物的用量。一种方法是在氯仿:甲醇(Ch: MeOH, 1:1 v/v)溶液中溶解共轭物,不考虑pH响应性;另一种方法是在酸性介质中破坏pH敏感的腙键[使用0.1 M盐酸(HCl)、浓盐酸(12 M HCl)和浓硫酸(18.3 M H2SO4)三种不同的介质]。结果:在MeOH-TFA溶液中偶联和浓硫酸处理后的聚合物-药物偶联物的偶联效率最高。迅速被免疫系统识别(12)。另一方面,聚乙二醇是亲水的,可以从免疫系统中逃脱。科学家们制备或使用PEG和PCL的共聚物或三嵌段聚合物,并制备纳米颗粒或胶束作为药物传递载体,并评估其体外和体内性能(13)。Gong等研究了PEG-PCL-PEG胶束的亲和力(14)。Hu等人用PCL-PEG-PCL聚合物制备胶束和聚合体作为药物载体(15)。Chen等人对功能化聚乙二醇制备的负载多柔比星的PEG-PCL胶束的细胞毒性进行了评估,并报道了有希望的结果(16)。准确测定药物偶联是很重要的,因为给病人高剂量可能会产生一些不想要的症状,如心肌病。结论:本文认为,MeOH-TFA法是测定DOX与M - tfa偶联的较好方法,M - tfa法是测定DOX通过聚合物偶联量的较好方法
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引用次数: 0
Evaluation of cross-protection of Androctonus crassicauda antivenom against Leiurus abdullahbayrami venom. 浅纹雄蚊抗蛇毒液对白尾鳗毒液交叉保护作用的评价。
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.34445
Mehmet Ali Kanat, D. Altun, Kübra Kiliç, Edibe Nurzen Namlı Bozkurt, Ertuğrul Turan, G. Cengi̇z, İlhan Bozyi̇ği̇t
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引用次数: 0
Salmonella Typhimurium and Salmonella Hessarek in wild birds 野生鸟类中的鼠伤寒沙门氏菌和黑沙克沙门氏菌
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.34538
E. Günaydın, Özlem Kardoğan, G. Goncagül, Yavuz Çokal, Pınar Mursaloğlu Kaynar
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引用次数: 0
Autacoids in the inflammation 炎症中的类细胞
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.66742
S. Kemer, Sefa Meti̇n, Gökçe Sural, E. Demirel Yilmaz
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引用次数: 0
The Role of Molecular Mechanisms in Targeted Therapy Strategies in Ovarian Cancer 分子机制在卵巢癌靶向治疗策略中的作用
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.60362
B. Çolak, D. Cansaran Duman, E. Yilmaz
Cancer is a disease that occurs in tissues and organs as a result of uncontrolled cell divisions. There are numerous types of cancer related with different frequencies and mortality rate. Ovarian cancer is the seventh common type of cancer worldwide and is the fifth cause of cancer-related death. Although there are standard treatment methods for cancer types, people give different responses to these treatment methods. In spite of all the treatment strategy developed, ovarian cancer still has a high mortality rate. For this reason, it is very important to better understand the drug resistance mechanisms that prevent the effecttiveness of today’s treatment methods, to develop new treatment methods and the determination of molecular characterization. In recent years, research has focused on methods containing pathway analysis within the scope of developing targeted therapy strategies for ovarian cancer. In this context, the activity status of onco-proteins in pathways such as WNT, Hedgehog and NOTCH signaling pathways were evaluated. In addition, the innovative treatment efficiency of Nanog protein and photodynamic therapy options on ovarian cancer has been detailed in recent years. It will be possible to increase the quality of the healing process of ÖZET Kanser, kontrol edilemeyen hücre bölünmeleri sonucunda doku ve organlarda meydana gelen hasarların bütünüdür. Farklı görülme sıklığı ve ölüm oranları ile ilişkili birçok kanser türü vardır. Yumurtalık kanseri dünya genelinde yaygınlık olarak yedinci sırada gelmekte olup kansere bağlı ölüm nedeni olarak beşinci sırada gelmektedir. Kanser türlerinin kendi içinde standart tedavi yöntemleri olmasına rağmen bireyler bu tedavi yöntemlerine farklı cevaplar vermektedir. Geliştirilen tüm tedavi stratejilerine rağmen yumurtalık kanseri hala yüksek ölüm oranına sahiptir. Bu sebeple günümüzdeki tedavi yöntemlerinin etkinliğini engelleyen ilaca karşı oluşan direnç mekanizmalarını kavramak, yeni tedavi yöntemleri geliştirmek ve moleküler karakterizasyonunu belirlemek oldukça önemlidir. Son yıllarda oldukça gündeme gelen yumurtalık kanserinde hedefe yönelik terapi stratejileri geliştirilmesi kapsamında yolak analizleri üzerine odaklanılmıştır. Bu kapsamda onkoproteinlerin WNT, Hedgehog ve NOTCH sinyal yolağı gibi yolaklardaki etkinlik durumları değerlendirilmiştir. Ayrıca, son yıllarda etkinliği belirlenmiş Nanog proteini ve fotodinamik tedavi seçeneklerinin yumurtalık kanseri üzerindeki yenilikçi tedavi etkinliği detaylandırılmıştır. Yumurtalık kanseri tedavisinde mevcut ve geliştirilmesi Türk Hijyen ve Deneysel Biyoloji Dergisi 1Ankara Üniversitesi Biyoteknoloji Enstitüsü, Ankara Geliş Tarihi / Received : Kabul Tarihi / Accepted : İletişim / Corresponding Author : Demet CANSARAN DUMAN Ankara Üniversitesi, Biyoteknoloji Enstitüsü Merkez Laboratuvarı, Tandoğan / Ankara Türkiye E-posta / E-mail : dcansaran@yahoo.com 24.02.2021 16.04.2021 Çolak B, Cansaran Duman D, Yılmaz E. Yumurtalık kanserinde hedefe yönelik te
癌症是一种由于细胞分裂失控而发生在组织和器官中的疾病。有许多类型的癌症与不同的频率和死亡率相关。卵巢癌是全球第七大常见癌症类型,也是癌症相关死亡的第五大原因。虽然癌症有标准的治疗方法,但人们对这些治疗方法的反应不同。尽管开发了各种治疗策略,但卵巢癌的死亡率仍然很高。因此,更好地了解阻碍当今治疗方法有效性的耐药机制,开发新的治疗方法和确定分子表征是非常重要的。近年来,在卵巢癌靶向治疗策略的制定范围内,研究的重点是包含通路分析的方法。在此背景下,我们评估了肿瘤蛋白在WNT、Hedgehog和NOTCH信号通路中的活性状态。此外,近年来Nanog蛋白和光动力治疗方案对卵巢癌的创新治疗效果也有详细的介绍。这将有可能提高愈合过程的质量ÖZET Kanser,控制edilemeyen h cre bölünmeleri sonucunda doku ve organlarda meydana gelen hasarların b tt nnd r。farklyi görülme sıklığı ve ölüm oranlaryi ilil kili birok kanser türü vardır。Yumurtalık kanseri d nya genelinde yaygınlık olarak yedinci sırada gelmekte olup kansere bağlı ölüm nedeni olarak be inci sırada gelmektedir。Kanser trellerinkendi i ' rindinde标准tedavi yöntemleri olmasına rağmen birelyler但tedavi yöntemlerine farklylcevapplar vermektedir。geli tirilen t m tedavi stratejilerine rağmen yumurtalık kanseri hala y ksek ölüm oranına shiptir。Bu sebeple g nnm zdeki tedavi yöntemlerinin etkinliğini engelleyen ilaca kar olu direnç mekanizmalarını kavramak, yeni tedavi yöntemleri geli tirmek ve molek ler karakterizasyonunu belirlemek olduka önemlidir。Son yıllarda olduk g ndeme gelen yumurtalık kanserinde hedefe yönelik terapi stratejileri geli tirilmesi kapsamında yolak analizleri zerine odaklanılmıştır。但是kapsamda onkoprotein in WNT, Hedgehog基因NOTCH信号yolağı gibi yolaklardaki etkinlik durumlari değerlendirilmiştir。Ayrıca, son yıllarda etkinliği belirlenmiki Nanog proteini ve fotodinamik tedavi seeneklerinin yumurtalık kanseri zerindeki yeniliki tedavi etkinliği detaylandırılmıştır。Yumurtalık kanseri tedavisinde mevcut ve geli tirilmesi t rk Hijyen ve Deneysel Biyoloji Dergisi 1Ankara Üniversitesi Biyoteknoloji Enstitüsü, Ankara geliu Tarihi /收件:Kabul Tarihi /收件:İletişim /通讯作者:Demet CANSARAN DUMAN Ankara Üniversitesi, Biyoteknoloji Enstitüsü Merkez laboratuvaryi, Tandoğan / Ankara trkiye E-posta / E-mail:dcansaran@yahoo.com 24.02.2021 16.04.2021 Çolak B, Cansaran Duman D, Yılmaz E. Yumurtalık kanserinde hedefe yönelik tedavi stratejilerinde molekler mekanizmaların rolü Turk Hij Den Biyol Derg, 2021;DOI: 10.5505/TurkHijyen.2022.60362 . DOI: 10.5505/TurkHijyen.2022.60362
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引用次数: 1
Evaluation of Certified Health Education Programs Under the Coordination of The Türkiye Ministry of Health by The Participants 参与者对<s:1>基耶省卫生部协调下的认证健康教育计划的评估
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.02256
Gülsen Topaktaş, Emine Çetin Aslan, Hüseyin Aslan
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引用次数: 1
The role of diabetes mellitus in the progression and prognosis of COVID-19 糖尿病在COVID-19进展和预后中的作用
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.58708
Filiz Yıldırım, H. Karageçili, Reyhan Öztürk, Zuhal Yıldırım
Objective: The COVID-19 pandemic, caused by SARSCoV-2 of Coronaviruses types, is a highly infectious disease caused by SARS-CoV-2, which first appeared in China. The presence of comorbid diseases, especially diabetes, and advanced age are determinants of the mortality and morbidity of the disease. In this study, it was aimed to examine the possible role of Diabetes mellitus (DM) in the course of the novel coronavirus disease (COVID-19). Methods: In this study, the data of 81 patients who applied to Ankara Polatlı Duatepe State Hospital between January 01 and May 05, 2021 and were confirmed to have COVID-19 and were hospitalized in the COVID-19 service for 5 to 20 days were analyzed. 39 female and 42 male patients were included in the study and the patients were divided into three groups. COVID-19 group (n=26;10 female, 16 male), COVID-19+DM group (n=28;13 female, 15 male), and COVID-19+hypertension (HT) group (n=27;16 female, 11 male). Demographic, clinical, radiological and laboratory records of the patients were reviewed retrospectively. Results: There was a statistically significant difference between the groups when they matched for age and gender (p<0.05). The mean age of the COVID-19+DM and COVID-19+HT groups was higher than the COVID-19 group (p<0.05). COVID-19 group 55.96±15.545 years, COVID-19+DM 68.29±12.849 years, COVID-19+HT 71.48±11.416 years. Only 32 patients had positive PCR tests, and the rate was 39.5%. The number of patients with CT is 69, and the rate is 85.2%. The number of CT-positive patients is 56 and the positivity rate is 81%. The PCR test positivity rate is lower than the CT positivity rate. The serum fasting blood glucose (FBG) and C-reactive protein (CRP) levels were significantly higher in the COVID-19+DM group when compared to the COVID-19 group and COVID-19+HT group (p<0.05). The serum sodium (Na) and chlorine (Cl) levels were significantly lower in the COVID-19+DM group when compared to the COVID-19 group and COVID-19+HT group (p<0.05). The serum creatinine and phosphorus (P) levels were significantly higher in the COVID-19+DM group when compared to the COVID-19 group (p<0.05).The serum hemoglobin (HGB) and hematocrit (HCT) levels were considerably higher in the COVID-19 group compared to the COVID-19+DM group (p<0.05). Conclusion: When all the data we obtained in our study are evaluated;we determined that the comorbidity effect of DM is important in the clinical course of patients infected with the SARS-CoV-2 virus. We think that SARSCoV-2 pneumonia patients with diabetes may be more severe than those without diabetes in terms of organ damage, and inflammatory variables, and are more likely to evolve to a worse prognosis, regardless of whether the additional comorbidities were present or not. © 2022,Turk Hijyen ve Deneysel Biyoloji Dergisi. All Rights Reserved.
目的:2019冠状病毒病大流行是由SARS-CoV-2型冠状病毒引起的一种高传染性疾病,在中国首次出现。合并症的存在,特别是糖尿病,以及高龄是该疾病死亡率和发病率的决定因素。本研究旨在探讨糖尿病(DM)在新型冠状病毒病(COVID-19)发病过程中的可能作用。方法:本研究对2021年1月1日至5月5日在安卡拉波拉特利亚杜阿特佩国立医院就诊并确诊为COVID-19并在COVID-19服务中心住院5 ~ 20 d的81例患者的资料进行分析。女性39例,男性42例,分为三组。COVID-19组(n=26,女性10人,男性16人)、COVID-19+DM组(n=28,女性13人,男性15人)、COVID-19+高血压(HT)组(n=27,女性16人,男性11人)。回顾性分析患者的人口学、临床、放射学和实验室记录。结果:年龄、性别匹配组间差异有统计学意义(p<0.05)。COVID-19+DM组和COVID-19+HT组的平均年龄高于COVID-19组(p<0.05)。COVID-19组55.96±15.545岁,COVID-19+DM组68.29±12.849岁,COVID-19+HT组71.48±11.416岁。PCR检测阳性32例,阳性率为39.5%。CT检查69例,检出率85.2%。ct阳性56例,阳性率81%。PCR检测阳性率低于CT检测阳性率。与COVID-19组和COVID-19+HT组相比,COVID-19+DM组血清空腹血糖(FBG)和c反应蛋白(CRP)水平显著升高(p<0.05)。与COVID-19组和COVID-19+HT组相比,COVID-19+DM组血清钠(Na)和氯(Cl)水平显著降低(p<0.05)。与COVID-19组相比,COVID-19+DM组血清肌酐和磷(P)水平显著升高(P <0.05)。COVID-19组血清血红蛋白(HGB)和红细胞压积(HCT)水平明显高于COVID-19+DM组(p<0.05)。结论:当我们对研究中获得的所有数据进行评估时,我们确定DM的合并症效应在SARS-CoV-2病毒感染患者的临床过程中是重要的。我们认为,无论是否存在其他合并症,伴有糖尿病的SARSCoV-2肺炎患者在器官损伤和炎症变量方面可能比没有糖尿病的患者更严重,并且更有可能演变为更差的预后。©2022,Turk Hijyen ve Deneysel Biyoloji Dergisi。版权所有。
{"title":"The role of diabetes mellitus in the progression and prognosis of COVID-19","authors":"Filiz Yıldırım, H. Karageçili, Reyhan Öztürk, Zuhal Yıldırım","doi":"10.5505/turkhijyen.2022.58708","DOIUrl":"https://doi.org/10.5505/turkhijyen.2022.58708","url":null,"abstract":"Objective: The COVID-19 pandemic, caused by SARSCoV-2 of Coronaviruses types, is a highly infectious disease caused by SARS-CoV-2, which first appeared in China. The presence of comorbid diseases, especially diabetes, and advanced age are determinants of the mortality and morbidity of the disease. In this study, it was aimed to examine the possible role of Diabetes mellitus (DM) in the course of the novel coronavirus disease (COVID-19). Methods: In this study, the data of 81 patients who applied to Ankara Polatlı Duatepe State Hospital between January 01 and May 05, 2021 and were confirmed to have COVID-19 and were hospitalized in the COVID-19 service for 5 to 20 days were analyzed. 39 female and 42 male patients were included in the study and the patients were divided into three groups. COVID-19 group (n=26;10 female, 16 male), COVID-19+DM group (n=28;13 female, 15 male), and COVID-19+hypertension (HT) group (n=27;16 female, 11 male). Demographic, clinical, radiological and laboratory records of the patients were reviewed retrospectively. Results: There was a statistically significant difference between the groups when they matched for age and gender (p<0.05). The mean age of the COVID-19+DM and COVID-19+HT groups was higher than the COVID-19 group (p<0.05). COVID-19 group 55.96±15.545 years, COVID-19+DM 68.29±12.849 years, COVID-19+HT 71.48±11.416 years. Only 32 patients had positive PCR tests, and the rate was 39.5%. The number of patients with CT is 69, and the rate is 85.2%. The number of CT-positive patients is 56 and the positivity rate is 81%. The PCR test positivity rate is lower than the CT positivity rate. The serum fasting blood glucose (FBG) and C-reactive protein (CRP) levels were significantly higher in the COVID-19+DM group when compared to the COVID-19 group and COVID-19+HT group (p<0.05). The serum sodium (Na) and chlorine (Cl) levels were significantly lower in the COVID-19+DM group when compared to the COVID-19 group and COVID-19+HT group (p<0.05). The serum creatinine and phosphorus (P) levels were significantly higher in the COVID-19+DM group when compared to the COVID-19 group (p<0.05).The serum hemoglobin (HGB) and hematocrit (HCT) levels were considerably higher in the COVID-19 group compared to the COVID-19+DM group (p<0.05). Conclusion: When all the data we obtained in our study are evaluated;we determined that the comorbidity effect of DM is important in the clinical course of patients infected with the SARS-CoV-2 virus. We think that SARSCoV-2 pneumonia patients with diabetes may be more severe than those without diabetes in terms of organ damage, and inflammatory variables, and are more likely to evolve to a worse prognosis, regardless of whether the additional comorbidities were present or not. © 2022,Turk Hijyen ve Deneysel Biyoloji Dergisi. All Rights Reserved.","PeriodicalId":35553,"journal":{"name":"Turk hijiyen ve deneysel biyoloji dergisi. Turkish bulletin of hygiene and experimental biology","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70677146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mitigative effects of chloroquine treatment against hypoxia-induced intestinal injury: A histological and immunohistochemical study 氯喹治疗对缺氧引起的肠道损伤的缓解作用:组织学和免疫组织化学研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.78476
A. Akin, E. Kaymak, E. Öztürk, Tayfun Ceylan, B. Yalçın, K. Başaran, D. Karabulut, Z. Doğanyiğit, S. Özdamar, B. Yakan
Objective: Hypoxia has an important role in the disruption of intestinal mucosal integrity because of inflammation and apoptosis induced by inflammatory cytokines such as TNF-a (Tumor necrosis factor-alpha), IL-6 and IFN-y, and apoptotic regulatory proteins. Chloroquine (CLQ) is a drug used in the novel coronavirus disease (COVID-19) and is widely used for the treatment of many inflammatory diseases such as malaria and rheumatoid arthritis. In this study, we aimed to reduce the destructive effects of hypoxia-induced inflammation and apoptosis in the intestinal mucosa of rats with CLQ applications. Methods: For this purpose, a total of 24 Wistar Albino rats were randomly divided into three groups;Group I: Control group (n=8), Group II: Hypoxia (n=8) and Group III: Hypoxia + CLQ (n=8). The control group was housed in plexiglass cages to keep the oxygen levels at 10% levels for 28 days, while the hypoxia and hypoxia+CLQ groups were housed in a normal atmospheric environment (21% O2), and the hypoxia+CLQ group was administered CLQ at a dose of 50 mg/kg every day for 28 days. At the end of the experiment, the intestinal tissues of the experimental animals, were extracted under the anesthesia and they were sacrificed. Results: As a result of histopathological evaluations, it was determined that CLQ applications showed healing properties on the histopathological effects induced by hypoxia in the intestine. While an increase in TNF-α expression was observed in the hypoxia group, a statistically significant decrease was detected in the hypoxia+CLQ group. In addition, Bax expression was found to be statistically significantly lower in the hypoxia+CLQ group when compared to the hypoxia group. On the contrary, it was observed that Bcl-2 expression was statistically significantly increased in the hypoxia+CLQ group compared to the Hypoxia group. Conclusion: We observed that hypoxia causes significant damage to the intestinal mucosa and triggers a severe inflammation that drives cells to apoptosis. Considering the curative effects of chloroquine on the intestinal mucosa, we suggest that this anti-inflammatory drug has a potential to use clinically to alleviate the deleterious effects of hypoxia in the intestine. © 2022. All Rights Reserved.
目的:缺氧在肠粘膜完整性破坏中起重要作用,因为炎症细胞因子如TNF-a(肿瘤坏死因子- α)、IL-6和IFN-y以及凋亡调节蛋白可诱导炎症和凋亡。氯喹(CLQ)是一种用于新型冠状病毒病(COVID-19)的药物,广泛用于治疗多种炎症性疾病,如疟疾和类风湿性关节炎。在本研究中,我们旨在降低低氧诱导的大鼠肠黏膜炎症和凋亡的破坏作用。方法:将24只Wistar Albino大鼠随机分为3组:ⅰ组:对照组(n=8),ⅱ组:缺氧组(n=8),ⅲ组:缺氧+ CLQ组(n=8)。对照组置于有机玻璃笼中,保持10%的氧气水平28 d,缺氧组和缺氧+CLQ组置于正常大气环境(21% O2)中,缺氧+CLQ组每天给予50mg /kg的CLQ,连续28 d。实验结束时,麻醉下提取实验动物肠道组织,处死。结果:通过组织病理学评估,确定CLQ应用对肠道缺氧引起的组织病理学影响具有愈合作用。低氧组TNF-α表达升高,低氧+CLQ组TNF-α表达降低,差异有统计学意义。此外,与缺氧组相比,缺氧+CLQ组Bax表达有统计学意义。与缺氧组相比,低氧+CLQ组Bcl-2表达明显升高。结论:我们观察到缺氧会对肠黏膜造成明显的损伤,并引发严重的炎症,从而导致细胞凋亡。考虑到氯喹对肠黏膜的疗效,我们认为这种抗炎药物有可能在临床上用于减轻肠道缺氧的有害作用。©2022。版权所有。
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引用次数: 1
Evaluation of Blood Culture Results in Hemodialysis Patients 血液透析患者血培养结果的评价
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.93798
S. Görgün, M. Usanmaz
Objective: Hemodialysis is a life-saving invasive procedure in patients with chronic renal failure (CRF). However, in this procedure, infections, which often cause patient deaths, may develop due to catheter application. These infections are detected by monitoring the blood and/or catheter cultures of the patients. In the study, an analysis of the blood culture results of patients with CRF undergoing hemodialysis was performed in order to contribute to the epidemiological data. Methods: In this study, the culture results of patients who were thought to have catheter infection in the Hemodialysis Unit of SBU Samsun Training and Research Hospital between 2017 and 2020 were evaluated retrospectively. Blood cultures sent to the laboratory were incubated in the hemoculture organisms isolated from blood cultures were Pseudomonas aeruginosa (5.4%), Enterococcus faecalis (3.6%), E. coli , Enterobacter cloacae complex (3.6%), and Klebsiella pneumoniae (1.8%). Of the coagulase-negative staphylococci, 17 (70.8%) were resistant to penicillin and 18 (75.0) to methicillin. Of the S. aureus strains, 3 (50.0%) were found to be resistant to penicillin and 3 (50.0%) to methicillin. A statistically significant difference was found between CNS and S. aureus growth in blood cultures (p<0.05). Conclusion: High rates of bacteria were isolated from blood cultures of hemodialysis patients in our hospital. This result makes it necessary to draw attention to aseptic conditions in the hemodialysis process. Monitoring of blood and catheter cultures, detection of causative agents and evaluation of antibiogram results will play a key role in preventing infections and taking necessary precautions in hemodialysis patients.
目的:血液透析是一种挽救慢性肾功能衰竭(CRF)患者生命的侵入性手术。然而,在这一过程中,由于导管的应用,感染可能会导致患者死亡。这些感染是通过监测患者的血液和/或导管培养来检测的。本研究对接受血液透析的CRF患者的血培养结果进行了分析,以便为流行病学资料提供帮助。方法:回顾性分析SBU三星培训研究医院血液透析科2017 - 2020年疑似导管感染患者的培养结果。送至实验室的血培养物分别为铜绿假单胞菌(5.4%)、粪肠球菌(3.6%)、大肠杆菌、阴沟肠杆菌复群(3.6%)和肺炎克雷伯菌(1.8%)。凝固酶阴性葡萄球菌中,17株(70.8%)对青霉素耐药,18株(75.0)对甲氧西林耐药。金黄色葡萄球菌菌株中,3株(50.0%)对青霉素耐药,3株(50.0%)对甲氧西林耐药。血培养CNS与金黄色葡萄球菌生长差异有统计学意义(p<0.05)。结论:我院血液透析患者血培养细菌分离率高。这一结果使得有必要提请注意血液透析过程中的无菌条件。血液和导管培养的监测、病原体的检测和抗生素谱结果的评估将在血液透析患者预防感染和采取必要的预防措施中发挥关键作用。
{"title":"Evaluation of Blood Culture Results in Hemodialysis Patients","authors":"S. Görgün, M. Usanmaz","doi":"10.5505/turkhijyen.2022.93798","DOIUrl":"https://doi.org/10.5505/turkhijyen.2022.93798","url":null,"abstract":"Objective: Hemodialysis is a life-saving invasive procedure in patients with chronic renal failure (CRF). However, in this procedure, infections, which often cause patient deaths, may develop due to catheter application. These infections are detected by monitoring the blood and/or catheter cultures of the patients. In the study, an analysis of the blood culture results of patients with CRF undergoing hemodialysis was performed in order to contribute to the epidemiological data. Methods: In this study, the culture results of patients who were thought to have catheter infection in the Hemodialysis Unit of SBU Samsun Training and Research Hospital between 2017 and 2020 were evaluated retrospectively. Blood cultures sent to the laboratory were incubated in the hemoculture organisms isolated from blood cultures were Pseudomonas aeruginosa (5.4%), Enterococcus faecalis (3.6%), E. coli , Enterobacter cloacae complex (3.6%), and Klebsiella pneumoniae (1.8%). Of the coagulase-negative staphylococci, 17 (70.8%) were resistant to penicillin and 18 (75.0) to methicillin. Of the S. aureus strains, 3 (50.0%) were found to be resistant to penicillin and 3 (50.0%) to methicillin. A statistically significant difference was found between CNS and S. aureus growth in blood cultures (p<0.05). Conclusion: High rates of bacteria were isolated from blood cultures of hemodialysis patients in our hospital. This result makes it necessary to draw attention to aseptic conditions in the hemodialysis process. Monitoring of blood and catheter cultures, detection of causative agents and evaluation of antibiogram results will play a key role in preventing infections and taking necessary precautions in hemodialysis patients.","PeriodicalId":35553,"journal":{"name":"Turk hijiyen ve deneysel biyoloji dergisi. Turkish bulletin of hygiene and experimental biology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70677769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distribution of gram negative bacteria isolated from blood culture and antibiotic resistance rates 革兰氏阴性菌血培养分布及抗生素耐药率
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.57983
Nihan Çeken, Hülya Duran, Tuğba Kula Atik
Objective: Bacteremia is a serious condition that causes hospitalization and increases mortality. Gram negative bacteria are frequently isolated as causative agents. The aim of this study was to evaluate the distribution and antimicrobial resistance of the gram negative bacteria isolated from blood cultures in our hospital. Methods: Gram negative bacteria isolated from blood culture samples sent to the microbiology laboratory between 2016-2019 were retrospectively analyzed. The blood cultures were performed by BacT/ALERT 3D (bioMérieux, France) and Render-BC128 (China). Bacterial identification and antibiotic susceptibility tests were performed using conventional methods and BD Phoenix 100 (BD Phoenix System, Beckton Dickinson, ABD) automated systems. Results: A total of 10,315 blood cultures obtained from hospitalized patients between (95.4%), Pseudomonas aeruginosa to ciprofloxacin (26.1%). The most susceptible antibiotics were carbapenems and amikasin for Enterobacterales , amikasin and gentamycin for P. aeruginosa , amikasin and trimethoprim-sulfamethaxazole for A.baumannii . Conclusion: In our study, the frequency of gram-negative bacteria growth in blood culture was found to be 27.5%, similar to literature data. It was observed that the determined bacterial distribution was compatible with different studies. Blood culture is the most important test in the diagnosis of bacteremia and in directing the right treatment. The distribution of microorganisms isolated in bacteremia and their antibiotic resistance rates changes by center. For this reason, it was think that each hospital should determine its own data at regular intervals and guide antibiotic selection according to these results.
目的:菌血症是一种严重的疾病,可引起住院治疗并增加死亡率。革兰氏阴性菌经常作为病原体被分离出来。本研究旨在了解我院血液培养革兰氏阴性菌的分布及耐药情况。方法:对2016-2019年送检的革兰氏阴性菌进行回顾性分析。血培养采用BacT/ALERT 3D (biomrieux,法国)和Render-BC128(中国)。采用常规方法和BD Phoenix 100 (BD Phoenix System, Beckton Dickinson, ABD)自动化系统进行细菌鉴定和药敏试验。结果:共获得住院患者血培养10315份(95.4%),铜绿假单胞菌至环丙沙星(26.1%)。对肠杆菌最敏感的抗生素是碳青霉烯类和氨卡霉素,对铜绿假单胞菌最敏感的抗生素是氨卡霉素和庆大霉素,对鲍曼假单胞菌最敏感的抗生素是氨卡霉素和甲氧苄嘧啶。结论:本研究发现革兰氏阴性菌在血培养中的生长频率为27.5%,与文献数据相似。结果表明,测定的细菌分布与不同的研究结果是一致的。血培养是诊断菌血症和指导正确治疗的最重要的试验。菌血症中分离的微生物分布及耐药率呈中心变化。因此,认为各医院应定期确定自己的数据,并根据这些结果指导抗生素的选择。
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Turk hijiyen ve deneysel biyoloji dergisi. Turkish bulletin of hygiene and experimental biology
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